| NPI | 1215578620 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: 0-19-10551) | 
| Additional Taxonomies | 106S00000X Behavior Technician | 
| Enumeration Date | 2019-10-07 | 
| Last Update Date | 2021-12-08 |